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ELIZABETH A MOORE MD
NPI 1316680663
Student in an Organized Health Care Education/Training Program in Sacramento, CA

Active since April 14, 2022PECOS EnrolledAccepts Medicare Assignment
2516 STOCKTON BLVD, SACRAMENTO, CA 95817(916) 734-2428 Get Directions Write a Review

NPPES record last updated: April 14, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elizabeth A Moore Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ELIZABETH A MOORE MD (NPI 1316680663) is an individual student in an organized health care education/training program in Sacramento, California and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS and is a graduate of Other (2022).

NPPES Registry Identity

NPI1316680663
Entity TypeIndividualFemale
Primary Taxonomy390200000X
Provider Legal NameELIZABETH A MOORECredential: MD
Location Address2516 STOCKTON BLVDSacramento, CA 95817-2208
Mailing Address2516 Stockton BlvdSacramento, CA 95817-2208 · (916) 734-2428
Phone(916) 734-2428
Sole ProprietorYes
Medical School CMSOtherGraduated 2022
Enumeration DateApril 14, 2022
NPPES CertifiedApril 14, 2022
✔ NPI 1316680663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyStudent in an Organized Health Care Education/Training ProgramStudent, Health Care
Taxonomy Code390200000X
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
2516 STOCKTON BLVD, Sacramento, CA 95817
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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Elizabeth A Moore Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7012414402
PECOS Enrollment IDI20251010001241
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LENA CLAIRE VAN DER LIST D.O.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
ALISON MY LAM M.D.
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. ELIZABETH PARTRIDGE M.D.
Pediatrics (Pediatric Infectious Diseases)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (510) 428-4337
SAMANTHA ELISE ELLINWOOD AUMAN M.D.
Student in an Organized Health Care Education/Training Program
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2428
SARA BRUNDAGE DO
Pediatrics
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3665
DR. JEANNY KIM PARK M.D.
Pediatrics (Pediatric Cardiology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-3589
DR. DENNIS MICHAEL STYNE M.D.
Pediatrics (Pediatric Endocrinology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-0129
DR. ARUN RANJAN PANIGRAHI M.D.
Pediatrics (Pediatric Hematology-Oncology)
2516 STOCKTON BLVD
SACRAMENTO, CA 95817
Sacramento County (916) 734-2781

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Elizabeth Moore's NPI number?

The NPI number for Elizabeth Moore is 1316680663. It was assigned to this individual provider in the NPPES registry on April 14, 2022.

Where is Elizabeth Moore located?

Elizabeth Moore practices at 2516 Stockton Blvd, Sacramento, CA 95817. The listed phone number is (916) 734-2428.

What is Elizabeth Moore's specialty?

The primary specialty registered for this NPI is Student in an Organized Health Care Education/Training Program with taxonomy code 390200000X.

Is Elizabeth Moore enrolled in Medicare?

Yes. Elizabeth Moore is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Elizabeth Moore was last updated on April 14, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.